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Jan 5, 2010
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almost all of our pay comes from medicaid and medicare. and so we are dependent on the public payers, what they pay is what we get. that's not the way traditional supply and demand works. we are in a very different world than a lot of the other parts of the health sector. secondly, our framework argues that we have to recognize long-term care work force as a distinct, but related part of the health sector. because every time we work on health care reform, health care work force reform, the eye goes toward hospital and ambulatory and primary work force, the long-term work force for the most part has been an afterthought and we have to and we're beginning to see this with the elder care work force alliance, but specific attention needs to be paid to this long-term work force if we are going to develop this over the next 20 years, particularly with the aging of the baby boomers, where we're really going to see some significant more demand in the future. the third is we have to be responding to new philosophies and models of care. we cannot do
almost all of our pay comes from medicaid and medicare. and so we are dependent on the public payers, what they pay is what we get. that's not the way traditional supply and demand works. we are in a very different world than a lot of the other parts of the health sector. secondly, our framework argues that we have to recognize long-term care work force as a distinct, but related part of the health sector. because every time we work on health care reform, health care work force reform, the eye...
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Jan 20, 2010
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the current health care system has led to skyrocketing costs in medicare and medicaid. to recuse those -- reduce those costs for the long run, we need to pass comprehensive health care reform. that's the first step to get the excessive deficits under control, and that's exactly what we're doing. in late december, the senate passed health care reform, and according to the nonpartisan congressional budget office, our health care reform bill reduced federal deficits by $132 billion in the first ten years. that is -- let me say it again. according to the c.b.o., this health care legislation will reduce federal deficits by by $132 billion in the first ten years. not increase, but reduce. that helps. the bill would reduce federal deficits by $650 billion to to $1.3 trillion the second ten years. that is, the second ten years, there is a much greater reduction in deficit spending, according to the nonpartisan congressional budget office, a reduction between $650 billion to $1.3 trillion reduction in federal deficits in the second ten years. and this deficit reduction is likely
the current health care system has led to skyrocketing costs in medicare and medicaid. to recuse those -- reduce those costs for the long run, we need to pass comprehensive health care reform. that's the first step to get the excessive deficits under control, and that's exactly what we're doing. in late december, the senate passed health care reform, and according to the nonpartisan congressional budget office, our health care reform bill reduced federal deficits by $132 billion in the first...
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Jan 28, 2010
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medicare, medicaid, social security. these programs that are the safety net for our country. he talked about the capping student loan fees for payback. he talked about our children being able to go into the community colleges that everyone has a right to good education. he talked about having to pay the t.a.r.p., the temporary aid so that people could have their loans restructured, and those that were in foreclosure could sit down with the bankers and have the loans restructured. he talked about the everyday man and woman of america having a job. he talked about our responsibility, and let's agree to stop disagreeing and come together on things that we can all approve of. he talked about our nation not to be number two but number one. so i mean who could disagree with that? and there was nothing that he said that i really found disagreeable. >> now, we've all been reading about tension between house democrats and the obama administration. what are your thoughts? >> he said tonight that he was going to be talking not only to democrats but republicans, too. and if you have a be
medicare, medicaid, social security. these programs that are the safety net for our country. he talked about the capping student loan fees for payback. he talked about our children being able to go into the community colleges that everyone has a right to good education. he talked about having to pay the t.a.r.p., the temporary aid so that people could have their loans restructured, and those that were in foreclosure could sit down with the bankers and have the loans restructured. he talked...
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Jan 5, 2010
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medicare went bankrupt in the late 90's and general revenue was added. we are in it because of the recession but it is more intense than ever. my feeling is we go through a variety of options the for don't get day strategy for the future along the lines of -- if we don't get a commission that has teeth and we will default and that will be a long tough fight. >> just one thing before we move on. i appreciate your historical perspective and appreciate when they wrote ran against each other that was worse than partisan stance provide take a shorter view of history which is what i know. it to me it looks like a straight downhill slide in the ability of people of good will from both parties to get together and address the problems of common public interest as opposed to constantly looking for an edge in the next election. do disagree? >> i do. that is why i am here. [laughter] the key factor is the south have two-thirds of their leadership positions and you have long term democratic control. larry is the expert on this with starting in the '70s in a whole hos
medicare went bankrupt in the late 90's and general revenue was added. we are in it because of the recession but it is more intense than ever. my feeling is we go through a variety of options the for don't get day strategy for the future along the lines of -- if we don't get a commission that has teeth and we will default and that will be a long tough fight. >> just one thing before we move on. i appreciate your historical perspective and appreciate when they wrote ran against each other...
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Jan 7, 2010
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for example, with the health care, it's medicare, medicare going bankrupt, not doing well. if you brought in, like, the private insurers that are able to cherry pick and bring in healthy individuals into medicare, that would pay a premium -- not fee, pay a peopleup. i forget exactly what the sliding scale is, but perhaps 10% of the average person's income, up to $110,000, could bring healthy individuals, paying full premiums, into medicare, which would balance out the expenses we have now paying for 65 and over. as you get older, more medical bills. i would be interested to see c-span have some accountant or actuarial come in and run the numbers that exist for the private health insurers and how they make their profits and how to make medicare, at a fee -- >> host: rob, thanks so much. we're going to have an hour long on health care later. if you asked senate how it functions, anderson, indiana, you're on. >> caller: thankful it's truly disgusting after the didisplay of the health care fiasco you have seen, and the conservative element within the politics in general is tear
for example, with the health care, it's medicare, medicare going bankrupt, not doing well. if you brought in, like, the private insurers that are able to cherry pick and bring in healthy individuals into medicare, that would pay a premium -- not fee, pay a peopleup. i forget exactly what the sliding scale is, but perhaps 10% of the average person's income, up to $110,000, could bring healthy individuals, paying full premiums, into medicare, which would balance out the expenses we have now...
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Jan 12, 2010
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we should be looking at the medicare trust fund and the pressures that on how that trust fund. the ballooning costs of medicaid. if we move to a public auction. as a move into the health care reform or even from my state the lessons should have been learned from tenor who care which was the test case for hillary clinton care in '94, my states still has this, it is the greatest public health failure in the country. that would be a great opportunity for us to look at what is affecting us with health care. certainly there are more pressing issues fell. we are appreciative of your time to be before us today in fall we all are concerned with leaching chemicals that come from plastics into bottled water, we are, indeed, very concerned with what we see what has suppressed during evidence from a speech to employees and are concerned with what we've seen, health care issues that are affecting all of our constituents and a lack of willingness to address those in in a patient's center consumer driven manner and i yield back my time. >> thank you. let me respond that we had a hearing just
we should be looking at the medicare trust fund and the pressures that on how that trust fund. the ballooning costs of medicaid. if we move to a public auction. as a move into the health care reform or even from my state the lessons should have been learned from tenor who care which was the test case for hillary clinton care in '94, my states still has this, it is the greatest public health failure in the country. that would be a great opportunity for us to look at what is affecting us with...
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Jan 27, 2010
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that is an entitlement and we tend to think about social security and medicare and medicaid as being the entitlements of great concern to us. the national debt is obligatory and has to be a case, it's an entitlement in a strong sense of the word. our witnesses last we suggested we need targets, we don't need to do ad hoc thing is a lease for the intermediate and long run but we need targets to shoot at and they were suggesting we should try to bring the deficit down 23% of gdp and. the data or and least told it to no more than 60% of gdp. are those reasonable goals? to do you think there are too high or too tight or too strict? >> so i can mr. chairman it's not our place at cbo to suggest what your goal should be. economists don't have a analytic basis for saying this is the crucial point. in terms of debt or deficits. it is true that as we push in this country to 60% of its gdp this. beyond that over the next few years removing into territory that most developed countries stay out of it. we are moving into territory that is unusual in our historical experience and the experience o
that is an entitlement and we tend to think about social security and medicare and medicaid as being the entitlements of great concern to us. the national debt is obligatory and has to be a case, it's an entitlement in a strong sense of the word. our witnesses last we suggested we need targets, we don't need to do ad hoc thing is a lease for the intermediate and long run but we need targets to shoot at and they were suggesting we should try to bring the deficit down 23% of gdp and. the data...
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Jan 13, 2010
01/10
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if they had been a distinction made because of the volume of potential medicare recipients or poverty levels or something involving health care and nebraska that was different, then that would be a different story on the constitutionality. that's why many states in the national legislation are not all treated the same because they are distinctions. and a lot of times there's a lot of straightening that goes on as we all know. but there is always a reason given. well, there is no reason given here except the one i recited and that is one that we see as unconstitutional and is likely seen by many as a symbol of the excesses of the corruption and excessive spending and fiscal irresponsibility in the congress. now that is not addressed in this letter. with this letter addresses is simply the constitutionality of that one provision. after we wrote the letter the next day which was thursday, december 31st, i received a telephone call from senator gramm saying he had received a telephone call from senator ben nelson asking to call the dogs off, and senator gramm suggested to senator nelson t
if they had been a distinction made because of the volume of potential medicare recipients or poverty levels or something involving health care and nebraska that was different, then that would be a different story on the constitutionality. that's why many states in the national legislation are not all treated the same because they are distinctions. and a lot of times there's a lot of straightening that goes on as we all know. but there is always a reason given. well, there is no reason given...
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Jan 6, 2010
01/10
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and so social security, food stamps, and medicare are examples of those more federal uniform policies. if a program or policy is he developed at a time when there is a major goal to reduce the role of the federal government or the size of the federal government, which was true in the 1980's, the goal is to devolve decision-making and administration from the federal level down to lower levels. and then you wind up getting policies like the current welfare system, the temporary assistance for needy families, and workforce development. if on the other hand, program or policies being developed by congress at the national level at a time when there's distrust of state and local government, but more trust in the federal government, perhaps like in the 60's during the war on poverty, then you may see more federal control of programs, but devolution down to the local level. community action agencies, public health centers are examples of those. the depending on when a policy or program is enacted in congress, the philosophies, the values that are dominant at that particular time heavily influ
and so social security, food stamps, and medicare are examples of those more federal uniform policies. if a program or policy is he developed at a time when there is a major goal to reduce the role of the federal government or the size of the federal government, which was true in the 1980's, the goal is to devolve decision-making and administration from the federal level down to lower levels. and then you wind up getting policies like the current welfare system, the temporary assistance for...
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Jan 27, 2010
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most of the budget, as you know, our mandatory programs, social security, medicare, veterans programs. that's by far the lion share of the budget. and the next biggest share is the defense. that's not part of what the president is disgusting. he is talking about a shared the budget that is about 16217 that the overall budget, about one seventh of the budget that is domestic discretionary spending and here's proposing a freeze in those categories. so they're certainly not going to solve the problem. you will make a modest contribution to reducing long-term deficits and debt, although to make a contribution that grows over time, which is very important. much more has to be done as the white house has acknowledged. [inaudible] well, look on the there's no question in my mind that additional steps need to be taken to help build the environment in which jobs can be created. i asked the congressional budget office, what are the most effective things that could be done for job creation? they came back and said, in terms of federal policy, the most important things that could be done is that
most of the budget, as you know, our mandatory programs, social security, medicare, veterans programs. that's by far the lion share of the budget. and the next biggest share is the defense. that's not part of what the president is disgusting. he is talking about a shared the budget that is about 16217 that the overall budget, about one seventh of the budget that is domestic discretionary spending and here's proposing a freeze in those categories. so they're certainly not going to solve the...